DARSHANA PATEL PMHNP
NPI 1205643608
Nurse Practitioner - Psychiatric/Mental Health in Lilburn, GA
About Darshana Patel Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARSHANA PATEL PMHNP (NPI 1205643608) is an individual psychiatric/mental health provider in Lilburn, Georgia, licensed in Georgia (RN218606) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Darshana Patel Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Darshana Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Suwanee, GA 30024
- Reassigned Medicare billing, Georgia enrollment
- 96 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 592 clinicians in this Medicare group
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 759 clinicians in this Medicare group
Lynchburg, VA 24504
- Reassigned Medicare billing, Georgia enrollment
- 159 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Georgia, Hawaii, New York and Washington enrollments
- 994 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Darshana Patel's NPI number?
The NPI number for Darshana Patel is 1205643608. It was assigned to this individual provider in the NPPES registry on December 18, 2024.
Where is Darshana Patel located?
Darshana Patel practices at 5347 Corsham Ct SW, Lilburn, GA 30047. The listed phone number is (770) 568-4945.
What is Darshana Patel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Darshana Patel enrolled in Medicare?
Yes. Darshana Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Darshana Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Darshana Patel reassigns Medicare benefits to 5 organizations: Psychiatric Professionals Of Georgia, LLC (Suwanee, GA), Personal Recovery Network LLC (Stockbridge, GA), Privia Medical Group Of Georgia LLC (Fayetteville, GA), Thrive Counseling LLC (Lynchburg, VA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Darshana Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Darshana Patel accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Darshana Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Darshana Patel was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Darshana Patel, PMHNP · NPI 1205643608
Psychiatric/Mental Health physician in Lilburn, Georgia. Individual provider, active in the CMS NPPES registry since December 18, 2024.
## Identity
- **NPI:** 1205643608 (Entity type: Individual)
- **Enumerated:** December 18, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN218606 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5347 CORSHAM CT SW, Lilburn, GA 30047-6340
- **Phone:** (770) 568-4945
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Psychiatric Professionals Of Georgia, LLC (NPI 1396277968, Suwanee, GA); Personal Recovery Network LLC (NPI 1881990869, Stockbridge, GA); Privia Medical Group Of Georgia LLC (NPI 1013313857, Fayetteville, GA); Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205643608) · Data from the CMS NPPES public registry.